Employment Application

Are you interested in working with Quality Extrusion?
Please submit an application through the form below.

Order Number

Name

Address

City

State

Zip

Phone

Social Security Number

Date Available For Employment

If employed and under 18, can you furnish a work permit? *

Yes No

Have you ever been employed by this company? *

Yes No

Are you employed now? *

Yes No

May we contact your present employer? *

Yes No

If yes, give name

Are you prevented from lawfully becoming employed in this country because of visa or immigration status? *

Yes No

Type of work desired

If applying for a position where driving is required, do you have a valid driver’s license in this state? *

Yes No

License #

Can you perform the essential functions of the job(s) for which you are applying? *

Yes No

Are you available to work *

Full-Time Part-Time Overtime

Have you been convicted of a felony?

Yes No This question does not need to be answered due to 2014 MN law

If yes, please explain

Please note that a “Yes” answer will not bar you from consideration for employment.

Elementary

Years Completed

Course Of Study

Secondary

Years Completed

Course Of Study

College

Years Completed

Course Of Study

Graduate School

Years Completed

Course Of Study

Special Skills, Qualifications, and Considerations

List three (3) non-relatives who are familiar with your qualifications, work history, and ability.

Name

Occupation/Relationship

Years Known

Telephone

Name

Occupation/Relationship

Years Known

Telephone

Name

Occupation/Relationship

Years Known

Telephone

Employer1

Employer

Supervisor’s Name

Address

Your Job Position

Telephone Number

Employed from

Employed to

Your Salary: Starting/Ending

Duties

What did you like most about your job?

Reason for Leaving

Employer2

Employer

Supervisor’s Name

Address

Your Job Position

Telephone Number

Employed from

Employed to

Your Salary: Starting/Ending

Duties

What did you like most about your job?

Reason for Leaving

Employer3

Employer

Supervisor’s Name

Address

Your Job Position

Telephone Number

Employed from

Employed to

Your Salary: Starting/Ending

What did you like most about your job?

Reason for Leaving

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK THEM BEFORE SIGNING.

I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. By signing below, I authorize QUALITY EXTRUSION to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character, and qualifications.
If hired, I will be responsible for familiarizing myself with all rules and regulations of QUALITY EXTRUSION as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of QUALITY EXTRUSION or at my option, without notice, at any time and for any reason.

I also understand that no representative of QUALITY EXTRUSION has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the president of QUALITY EXTRUSION.

I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time.

I have read, understand, and agree with the above.

Signature Of Applicant

Date

This application is valid for only (90) days from the date I signed. If I want to be considered for job openings more than ninety (90) days from date signed. I will submit a new application.

This Fair Credit Reporting Act (FCRA) provides individuals with certain rights regarding consumer reports and places certain obligations on employers using consumer reports for employment-related purposes. Consistent with the FCRA’s requirements, this notice is provided to you in order to inform you that QUALITY EXTRUSION may, for employment-related requirements purposes (e.g., evaluating you for initial employment, promotions, transfers, assigned duties, retention as an employee, etc.), obtain from a consumer reporting agency one or more consumer reports containing financial information, criminal record information, driving record information, and/or other relevant information about you. QUALITY EXTRUSION will not obtain a consumer report without your signature below authorizing us to obtain one or more consumer reports.

Authorization to Obtain Consumer Reports
I hereby acknowledge that I have read and understand the contents of the above notice and, by signing below, specifically authorize QUALITY EXTRUSION to obtain one or more consumer reports on me for employment-related purposes as indicated above.

Signature2

Date2

Attach Resume

pdf,doc,docx